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BIANCA BLACKSTONE
NPI 1043098775
Nurse Practitioner in San Marcos, TX

Active since September 14, 2023PECOS EnrolledAccepts Medicare Assignment
1305 WONDER WORLD DR STE 200, SAN MARCOS, TX 78666(512) 754-8676(512) 371-6891 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bianca Blackstone NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIANCA BLACKSTONE (NPI 1043098775) is an individual nurse practitioner in San Marcos, Texas, licensed in Texas (1140411) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Laredo Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043098775
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBIANCA BLACKSTONE
Location Address1305 WONDER WORLD DR STE 200San Marcos, TX 78666-7502
Mailing Address1700 E Saunders StLaredo, TX 78041-5474
Phone(512) 754-8676
Fax(512) 371-6891
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 14, 2023
Last NPPES UpdateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1043098775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1140411
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 819527 (TX)
1305 WONDER WORLD DR STE 200, San Marcos, TX 78666
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bianca Blackstone is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052763794
PECOS Enrollment IDI20240118002691
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Bianca Blackstone reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Austin Gastroenterology, PLLC
38 mi
Gastroenterology
9211 WATERFORD CENTRE BLVD, STE 200
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 85 clinicians in this Medicare group
NPI 1316998016 (512) 485-5872
Gulf Coast Intensivists, PLLC
145 mi
Critical Care Medicine
600 ELIZABETH ST
Corpus Christi, TX 78404
  • Reassigned Medicare billing, Texas enrollment
  • 69 clinicians in this Medicare group
NPI 1104509199 (361) 881-3000
Texas Digestive Disease Consultants, PLLC
153 mi
Gastroenterology
4100 S SHEPHERD DR
Houston, TX 77098
  • Reassigned Medicare billing, Texas enrollment
  • 575 clinicians in this Medicare group
NPI 1013429968 (832) 255-5681
Laredo Icu, LLC
187 mi
Emergency Medicine
1700 E SAUNDERS ST
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
  • 49 clinicians in this Medicare group
NPI 1649952649 (956) 796-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Laredo Medical Center

Acute Care Hospitals · Laredo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450029
Location1700 East SaundersLaredo, TX 78044 · Webb County
Emergency services Birthing friendly

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78666 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MINH THU THI NGUYEN MD
Internal Medicine (Gastroenterology)
1305 WONDER WORLD DR STE 200
SAN MARCOS, TX 78666
Hays County (512) 754-8676
DR. ANITA BHAGAVATHULA DO
Internal Medicine (Gastroenterology)
1305 WONDER WORLD DR STE 200
SAN MARCOS, TX 78666
Hays County (512) 754-8676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bianca Blackstone's NPI number?

The NPI number for Bianca Blackstone is 1043098775. It was assigned to this individual provider in the NPPES registry on September 14, 2023.

Where is Bianca Blackstone located?

Bianca Blackstone practices at 1305 Wonder World Dr Ste 200, San Marcos, TX 78666. The listed phone number is (512) 754-8676.

What is Bianca Blackstone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Bianca Blackstone enrolled in Medicare?

Yes. Bianca Blackstone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Bianca Blackstone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bianca Blackstone reassigns Medicare benefits to 4 organizations: Austin Gastroenterology, PLLC (Austin, TX), Gulf Coast Intensivists, PLLC (Corpus Christi, TX), Texas Digestive Disease Consultants, PLLC (Houston, TX) and Laredo Icu, LLC (Laredo, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bianca Blackstone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bianca Blackstone accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Bianca Blackstone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bianca Blackstone affiliated with any hospitals?

According to CMS data, Bianca Blackstone is affiliated with Laredo Medical Center, Guadalupe Regional Medical Center and Christus Santa Rosa Hospital-San Marcos.

When was this NPI record last updated?

The NPPES record for Bianca Blackstone was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.